Janice,
I know this mother who is choosing to believe she has "insufficient milk
".  I was in contact with her on the ap email group.
Indeed her early breastfeeding experience was grossly mismanaged. When I
heard about her weeks earlier home visit from an "LC"  giving out a Ross
formula freebie bag and telling her she had " insufficient milk
syndrome" . I knew she was in trouble!
I have the state by state ILCA roster and gave her ibclc names and
numbers in the Denver area.  She finally received authentic in person
assistance at apx. six weeks postpartum for relactation management from
an IBCLC.

She did make an effort in my estimation but, it was not a long enough
try and frequent enough pumpings was not taking place..
If my memory is correct she went back to work full-time as a state
prison correction officer (didn't pump at work)
a Week or two after she started her relaxation efforts and the SNS. The
baby  had 6 weeks of imprinting on a playtex short nippled bottle, and
was nipple confused (tongue thrusting) . IMO I think Both needed allot
more time !

I gave her daily emotional support and hand holding via email ( i'm a
postpartum doula : ) for the management plan the IBCLC instructed her to
follow..I remember it being very common good sound advice on relaction
and suck retraining exercise and an SNS use . She liked the ibclc, __but
didn't follow the long term instructions and advice__.

What she chose not to do was include some rather important details in
her effort to relactate.
I believe her effort was authentic but was too time limited for change.
I'm no longer in touch but i know She is much, much more knowledgeable
than the first time and the out come should be different. If i remember
correctly she has large soft breasts and flatish nipples, remind her to
get the "real IBCLC" to see her shortly after the birth to help with a
good latch-on technique.

She is needs emotional face to face support from LLL meetings and other
weekly breastfeeidng moms groups so she gains the confidence to succeed
and makes breastfeeding mother friends. She also needs to work on
replacing the tape in her head about no milk. For her It was the initial
mismanagement, than time constraints on relactation that created no
milk.

btw, She should not pump her breasts while pregnant unless she wants to
bring on labor. Has she been doing this?

Ruth Callahan
Doula care Postpartum Service
NY, NY
http://www.webspan.net/~callahan